I do have a problem with meds being prescribed for pre-diabetes (insulin resistance/borderline fasting blood sugar - yes the name keeps changing) because for most people the path from preD to full blown is years in the making, diet and exercise can prevent it from progressing in about 75-80% or at least slow the process dramatically. Officially the only treatment recommended for pre-D is increased frequency of testing. I think diabetes counseling should be added at least at some level before active damage is being done to internal organs.
However, I also have a problem with the fact that when I asked my doctor "oh hey, does that blood sugar number indicate a higher diabetes risk?" (since my dad died from it and all) and was told "Oh, yes it does, but we usually dont say anything until it gets to 120". Why not? If I had been told the first time I had a 110 FBS I might have made the changes before I got pg and got GD etc ( I WAS able to prevent GD with pg#2). Why not give a person 5-10 years extra of "this is something you should keep an eye on". Especially since my doctors often have forgotten to order an FBS with my routine physical. Until you are 40 in this country you are not screened for Diabetes outside of pregnancy. Regardless of family history, or even weight. Knowledge is power and they actively withheld knowledge that I was at risk for nearly a decade. Until I asked on my own. Had I never had GD, I would not be on the alert.
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To scare me to do what they want, to scare my mom into staying on likely unnecessary meds, to judge me and my mom ... "oh you are a diabetic" you are bad... so you must take this new drug and your medical insurance used it as a pretext to deny you coverage.
I dont see that there is a judgment factor or a statement of "you are bad" with diabetes. Nor is diabetes unique in medical coverage. Anytime you let insurance lapse for even a second you will be denied new coverage for ANY kind of condition you have.